Individual
ALEXANDRA ERLACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
100 E 77TH ST, NEW YORK, NY 10075-1850
(212) 434-2000
Mailing address
15 BOUTON ST, SOUTH SALEM, NY 10590-1300
(914) 355-0709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
023781
NY
Other
Enumeration date
05/29/2019
Last updated
08/02/2019
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